Employer-Based, 516,091, 54.7%

Direct Purchase, 48,061 , 5.1%

Medicare Only, 37,736 , 4.0%

Medicaid/Means Tested, 87,327 , 9.3%

Military/VA, 1,606 , 0.2%

No Coverage, 103,269 , 11.0%

Two or More Types -All Private, 27,671 , 3.0%

Two or More Types - At Least 1 Public & 1 Private,

104,685 , 11.1%

Two or More Types - All Public, 16,556 , 1.8%

Two or More Types of Coverage,

148,912 , 15.8%

Westchester County Department of Health

Community Health Assessment Data Update 2015.01

Health Insurance Coverage, 2009-2013

In this issue: • Health Insurance

Coverage (Page 1) • Health Insurance

Coverage by Municipality (Page 2)

• Health Insurance Coverage by Sex & Age

(Page 3) • Health Insurance

Coverage by Race/Ethnicity (Page 4)

• Health Insurance Coverage by Education & Employment (Page 5)

• Health Insurance Coverage by Income & Citizenship (Page 6)

• WCDH In-Person Assistor/Navigator Program (Page 7)

• Tables (Page 8)

Project Directors:

Jiali Li, Ph.D., Director of Research & Evaluation Planning & Evaluation

Renee Recchia, MPH, Acting Deputy Commissioner of Administration

Project Staff:

Megan Cea, MPH, Medical Data Analyst

Stan Cho, MPH, Medical Data Analyst

Graphic Design: Megan Cea, MPH

Robert P. Astorino, Westchester County Executive Sherlita Amler, MD, Commissioner of Health

Health Insurance Coverage by Type of Insurance

Total Population: 943,002 Total Population with Private Coverage: 697,191* Total Population with Public Coverage: 247,227* Total Population with No Coverage: 103,269

Source: American Community Survey, 2009-2013.

*Private and public coverage are not mutually exclusive, as individuals may have more than one form of health insurance coverage. Therefore, the number of individuals with “Any Coverage” is not the sum of those with “Private Coverage” and those with “Public Coverage”.

1

Health Insurance Coverage by Municipality

Percentage of Population without Health Insurance Coverage

2

Health Insurance Coverage by Sex and Age

73.9% 73.1%74.7%

26.2%24.1%

28.2%

Total Male Female

Private Coverage* Public Coverage*

217,561(96.7%)

141,534(75.8%)

345,266(87.6%)

135,372(98.8%

7,406(3.3%)

45,190(24.2%)

49,085(12.4%)

1,588(1.2%)

<18 years 18-34 years 35-64 years 65+ years

Any Coverage No Coverage

75.0%

65.7%

80.1%

65.6%

24.7%

12.0%9.9%

95.2%

<18 years 18-34 years 35-64 years 65+ years

Private Coverage* Public Coverage*

839,733(89.0%)

394,220(86.9%)

445,513(91.1%)

103,269(11.0%)

59,490(13.1%)

43,779(8.9%)

TotalPopulation: 943,002

MaleTotal Population: 453,710

FemaleTotal Population: 489,292

Any Coverage No Coverage

*Private and public coverage are not mutually exclusive, as individuals may have more than one form of health insurance coverage. Therefore, the number of individuals with “Any Coverage” is not the sum of those with “Private Coverage” and those with “Public Coverage”.

3

Health Insurance Coverage by Race/Ethnicity

586,514(92.5%)

117,349(89.6%)

1,514(72.5%)

47,344(91.0%)

61,297(64.4%)

25,715(89.0%)

152,185(71.8%)

47,299(7.5%)

13,672(10.4%)

575(27.5%)

4,663(9.0%)

33,874(35.6%)

3,186(11.0%)

59,660(28.2%)

White Black Native American Asian & Pacific Islander Other Race Two or More Races Hispanic*

No Coverage Any Coverage

7.510.4

27.5

9.0

35.6

11.0

28.2

2.73.7 0.0 4.8 6.1 1.4 5.5

11.214.5

41.7

11.2

49.3

21.1

40.3

0.7 2.0 0.03.2

9.4

1.26.6

White Alone Black Alone Native American Asian & PacificIslander

Other Race Two or More Races Hispanic*

Total

<18 years

18-64 years

65+ years

Percent with No Health Insurance Coverage by Race/Ethnicity and Age, Westchester County, 2009-2013

*Hispanic is an ethnic group and may be of any race. Therefore, Hispanics are also reported in the race categories.

4

Health Insurance Coverage by Education & Employment

51,643(67.5%)

111,852(82.3%)

117,262(88.4%)

278,591(94.9%)

24,886(32.5%)

24,134(17.7%)

15,357(11.6%)

15,047(5.1%)

Less than HS HS/GED Some College/Associate's Degree

Bachelor's Degreeor Higher

Any Coverage No Coverage

37.5%

61.7%

75.1%

89.3%

45.8%40.7%

27.5%

18.5%

Less than HS HS/GED Some College/Associate's Degree

Bachelor's Degreeor Higher

Any Private Coverage* Any Public Coverage*

389,310(85.8%)

27,456(68.4%)

205,406(91.5%)

64,181(14.2%)

12,679(31.6%)

19,003(8.5%)

Employed Unemployed Not in Labor Force

Any Coverage No Coverage

80.6%

51.3%

63.5%

10.7%

23.0%

59.6%

Employed Unemployed Not in Labor Force

Any Private Coverage* Any Public Coverage*

*Private and public coverage are not mutually exclusive, as individuals may have more than one form of health insurance coverage. Therefore the number of individuals with “Any Coverage” is not the sum of those with “Private Coverage” and those with “Public Coverage”.

Educational attainment was assessed for the population age 25 and over. Employment assessed for the civilian noninstitutionalized population age 18 and over.

5

Health Insurance Coverage by Household Income & Citizenship

83,154(81.9%)

103,007(79.0%)

101,039(82.3%)

91,344(87.3%)

449,246(95.4%)

18,357(18.1%)

27,345(21.0%)

21,593(17.6%)

13,340(12.7%)

21,511(4.6%)

Under $25,000 $25,000-$49,999

$50,000-$74,999

$75,000-$99,999

$100,000+

Any Coverage No Coverage

31.7%

50.5%

65.9%

78.2%

91.1%

66.8%

44.3%

30.1%

20.9%

12.3%

Under$25,000

$25,000-$49,999

$50,000-$74,999

$75,000-$99,999

$100,000+

Any Private Coverage*

Any Public Coverage*

666,880(94.5%) 102,743

(89.6%)

70,110(57.3%)

39,126(5.5%)

11,884(10.4%)

52,259(42.7%)

Native Born Foreign Born/Naturalized Foreign Born/Noncitizen

Any Coverage No Coverage

79.6%

72.3%

42.8%

26.8%

31.9%

17.5%

Native Born ForeignBorn/Naturalized

ForeignBorn/Noncitizen

Any Private Coverage*

Any Public Coverage*

*Private and public coverage are not mutually exclusive, as individuals may have more than one form of health insurance coverage. Therefore, the number of individuals with “Any Coverage” is not the sum of those with “Private Coverage” and those with “Public Coverage”.

Income assessed for the civilian population living in households.

6

WCDH In-Person Assistor/Navigator Program

Through the “In-Person Assistor/Navigator Program”, Westchester County Department of Health (WCDH)

provides personalized, one-on-one assistance to individuals, families and small businesses in Westchester

County (as well as the Bronx) who are eligible to obtain health insurance coverage through both the New York

State of Health Individual Marketplace and the Small Business Health Option (SHOP) Marketplace.

The health coverage options available through this program include: Medicaid, Child Health Plus, and

Qualified/Private Health Plans. Small Businesses (with 50 or fewer employees) seeking to obtain health

insurance through New York State of Health can also get assistance through the Navigator program.

The highly experienced, certified, bilingual/multicultural team:

• Provides in person application assistance to consumers at initial enrollment and when renewing

coverage;

• Informs consumers on the various coverage options available through the Marketplace;

• Assists in determining eligibility whether consumers qualify for free insurance or financial help to pay for

private health insurance;

• Helps consumers compare plans;

• Enrolls eligible consumers in private or public health insurance plans;

• Educates consumers regarding health insurance terms and policies;

• Educates the public and service providers on the Affordable Care Act provisions;

• Assists small businesses in making business decisions regarding health insurance for their employees;

• Educates small businesses on the small business tax credits.

The Program provides in-person assistor/navigator services at 24 locations in 12 municipalities across the

County, including WCDH clinics and WIC offices, community health centers, public libraries, employment

centers, and other business and/or government facilities. During the open enrollment period of November

2014 through February 2015, navigators completed 967 applications representing 1565 individuals applying for

health coverage.

The Program provides services by appointment, as well as on a walk-in basis during workdays, evening hours,

and Saturdays.

Navigator Customer Service Line: 914-813-5192

Email Address: hnav@westchestergov.com

7

Health Insurance Coverage by Type and Municipality, Westchester County, 2009-2013

TotalOne Type

o f Co verage Only

Emplo yer-B ased Only

Direct Purchase

Only

Medicare Only

Medicaid/ Means-

Tested Only

Milit ary ( TriCare o r VA) Only

Two o r Mo re Types o f Co verage

No Co verage

% No Co verage

Westcheste r County 943,002 690,821 516,091 48,061 37,736 87,327 1,606 148,912 103,269 11.0Northwest 142,357 105,113 81,545 6,711 4,085 12,327 445 20,293 16,951 11.9

Briarcliff Manor (V) 7,800 6,312 5,154 742 283 133 0 1,219 269 3.4Buchanan (V) 2,246 1,732 1,416 64 96 91 65 358 156 6.9Cortlandt (TOV) 31,047 23,635 19,707 1,334 839 1,661 94 5,036 2,376 7.7Croton-on-Hudson (V) 7,989 6,060 5,083 377 220 360 20 1,056 873 10.9Mount Pleasant (TOV) 24,614 19,807 16,854 1,703 630 575 45 3,269 1,538 6.2Ossining (TOV) 5,308 4,062 3,425 423 115 99 0 1,111 135 2.5Ossining (V) 23,114 15,617 10,242 854 655 3,866 0 2,396 5,101 22.1Peekskill (C) 23,605 16,148 10,946 645 687 3,700 170 3,517 3,940 16.7Pleasantville (V) 6,768 5,307 4,634 263 180 215 15 1,066 395 5.8Sleepy Hollow (V) 9,866 6,433 4,084 306 380 1,627 36 1,265 2,168 22.0

Northeast 135,415 106,678 87,785 9,008 5,059 4,724 102 20,418 8,319 6.1Bedford (T) 16,247 12,487 9,832 1,051 452 1,115 37 1,967 1,793 11.0Lewisboro (T) 12,489 10,064 8,084 974 491 484 31 1,700 725 5.8Mount Kisco (T/V) 10,925 7,404 5,481 314 259 1,350 0 1,279 2,242 20.5New Castle (T) 17,661 15,203 12,955 1,424 676 145 3 1,962 496 2.8North Castle (T) 11,941 9,893 8,383 949 271 290 0 1,521 527 4.4North Salem (T) 4,883 3,942 2,941 532 244 225 0 838 103 2.1Pound Ridge (T) 5,145 4,037 3,401 372 263 1 0 907 201 3.9Somers (T) 20,194 15,245 12,537 1,522 911 267 8 4,285 664 3.3Yorktown (T) 35,930 28,403 24,171 1,870 1,492 847 23 5,959 1,568 4.4

West Central 161,796 120,848 95,430 9,292 6,599 9,359 168 25,227 15,721 9.7Ardsley (V) 4,461 3,457 2,680 323 296 148 10 730 274 6.1Dobbs Ferry (V) 10,281 8,306 6,873 632 431 326 44 1,191 784 7.6Elmsford (V) 4,709 3,253 2,337 344 94 478 0 582 874 18.6Greenburgh (TOV) 43,275 33,264 27,457 2,422 1,685 1,693 7 6,915 3,096 7.2Hastings-on-Hudson (V) 7,600 6,132 5,070 403 316 332 11 1,046 422 5.6Irvington (V) 6,462 5,194 4,516 321 276 81 0 995 273 4.2Scarsdale (T/V) 17,337 14,454 12,701 927 754 72 0 2,540 343 2.0Tarrytown (V) 11,221 8,365 7,043 834 186 286 16 2,197 659 5.9White Plains (C) 56,450 38,423 26,753 3,086 2,561 5,943 80 9,031 8,996 15.9

East Central 118,257 78,605 58,497 7,674 4,701 7,636 97 25,018 14,634 12.4Harrison (T/V) 27,636 19,303 13,859 2,813 1,246 1,369 16 5,892 2,441 8.8Larchmont (V) 5,898 4,631 3,908 337 247 139 0 1,156 111 1.9Mamaroneck (TOV) 12,047 9,208 7,892 524 600 144 48 2,401 438 3.6Mamaroneck (V) 18,722 12,948 9,831 1,025 678 1,404 10 3,853 1,921 10.3Port Chester (V) 28,934 14,623 8,485 1,261 972 3,905 0 5,914 8,397 29.0Rye (C) 15,729 11,528 9,651 985 455 415 22 3,586 615 3.9Rye Brook (V) 9,291 6,364 4,871 729 503 260 1 2,216 711 7.7

Southwest 196,451 138,823 91,577 5,963 8,923 31,950 410 30,569 27,059 13.8Yonkers (C) 196,451 138,823 91,577 5,963 8,923 31,950 410 30,569 27,059 13.8

Southeast 188,726 140,754 101,257 9,413 8,369 21,331 384 27,387 20,585 10.9Bronxville (V) 6,341 5,360 4,515 491 175 168 11 890 91 1.4Eastchester (TOV) 19,678 15,532 12,996 1,214 1,061 234 27 3,510 636 3.2Mount Vernon (C) 67,084 48,278 30,658 2,703 3,061 11,745 111 10,164 8,642 12.9New Rochelle (C) 76,665 55,774 39,836 3,898 3,396 8,409 235 10,622 10,269 13.4Pelham (V) 6,920 5,715 4,838 394 224 259 0 830 375 5.4Pelham Manor (V) 5,519 4,586 4,006 249 276 55 0 674 259 4.7Tuckahoe (V) 6,519 5,509 4,408 464 176 461 0 697 313 4.8

2 Source: American Community Survey, 2009-2013, Table B27010

g y yp p y y

8

Health Insurance Coverage by Select Characteristics, Westchester County, New York State, and the United States, 2009-2013

New York State

United States

AllAny

CoverageAny Pr ivate

CoverageAny Public Coverage

None%

None% None % None

Westcheste r County 943,002 839,733 697,191 247,227 103,269 11.0 11.1 14.9Sex

Male 453,710 394,220 331,874 109,331 59,490 13.1 13.2 16.4Female 489,292 445,513 365,317 137,896 43,779 8.9 9.2 13.4

Age<6 yrs 69,087 67,367 48,370 21,358 1,720 2.5 3.8 6.16-17 yrs 155,880 150,194 120,340 34,186 5,686 3.6 4.6 8.418-24 yrs 79,263 62,824 53,975 10,622 16,439 20.7 18.7 26.425-34 yrs 107,461 78,710 68,710 11,817 28,751 26.8 22.7 27.235-44 yrs 129,460 106,092 97,313 10,436 23,368 18.1 16.1 20.845-54 yrs 147,474 131,429 120,962 13,833 16,045 10.9 12.0 17.055-64 yrs 117,417 107,745 97,737 14,581 9,672 8.2 9.0 12.865-74 yrs 70,834 69,716 47,258 65,306 1,118 1.6 1.4 1.275+ yrs 66,126 65,656 42,526 65,088 470 0.7 0.6 0.6

Race / EthnicityWhite 633,813 586,514 -- -- 47,299 7.5 8.5 13.1Black 131,021 117,349 -- -- 13,672 10.4 12.7 17.5Native American 2,089 1,514 -- -- 575 27.5 21.8 27.9Asian & Pacific Islander 52,007 47,344 -- -- 4,663 9.0 15.4 15.0Some Other Race 95,171 61,297 -- -- 33,874 35.6 24.5 33.2Two or More Races 28,901 25,715 -- -- 3,186 11.0 13.0 14.1Hispanic2 211,845 152,185 -- -- 59,660 28.2 21.2 29.6

Educational Attainment3

Less than HS 76,529 51,643 28,680 35,046 24,886 32.5 21.5 30.6HS / GED 135,986 111,852 83,888 55,318 24,134 17.7 14.4 19.1Some College / Associate's 132,619 117,262 99,662 36,469 15,357 11.6 11.6 14.8Bachelor's or Higher 293,638 278,591 262,276 54,228 15,047 5.1 7.1 6.6

Employment Status4

Employed 453,491 389,310 365,463 48,629 64,181 14.2 13.6 16.8Unemployed 40,135 27,456 20,577 9,228 12,679 31.6 31.6 44.6Not in Labor Force 224,409 205,406 142,441 133,826 19,003 8.5 9.0 12.7

Income 5

Under $25,000 101,511 83,154 32,148 67,759 18,357 18.1 14.3 23.4$25,000-$49,999 130,352 103,007 65,772 57,788 27,345 21.0 16.1 21.4$50,000-$74,999 122,632 101,039 80,766 36,917 21,593 17.6 13.2 15.2$75,000-$99,999 104,684 91,344 81,839 21,894 13,340 12.7 10.2 10.5$100,000+ 470,757 449,246 428,993 58,102 21,511 4.6 6.3 6.1

Citizenship StatusNative Born 706,006 666,880 562,021 189,248 39,126 5.5 7.7 12.1Foreign Born / Naturalized 114,627 102,743 82,844 36,586 11,884 10.4 10.9 16.1Foreign Born / Noncitizen 122,369 70,110 52,326 21,393 52,259 42.7 36.5 47.0

1 Source: American Community Survey, 2009-2013, Tables B27001, C27001a-i, B27019, B27011, B27015, B27020.2 Hispanic can be of any race. Therefore, Hispanics are also reported in the race categories.3 Educational attainment was assessed for the population age 25 and over. 4 Employment assessed for the civilian noninstitutionalized population age 18 and over.5 Income assessed for the civilian population living in households.

2009-2013 ACS1 Westchester County

9